Individual
JASON GABRIEL ALMANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
209 BAILEY ST APT 3, LAWRENCE, MA 01843-1875
(978) 390-5598
Mailing address
209 BAILEY ST APT 3, LAWRENCE, MA 01843-1875
(978) 390-5598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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